The 37-year-old male client has a hemoglobin level of 22.1 g/dL. What is the nurse's best action?
A. Document the report as the only action.
B. Institute infection precautions.
C. Institute bleeding precautions.
D. Notify the physician.
D
The normal range for hemoglobin in adult males of this age is 14 to 18 g/dL. This client's he-moglobin level is elevated, which could indicate possible chronic hypoxia or polycythemia vera.
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A patient with a suspected malignant melanoma is referred to the dermatology clinic. The nurse knows to set up for what diagnostic test to rule out a skin malignancy?
A) Tzanck smear B) Skin biopsy C) Patch testing D) Skin scrapings
When explaining the recommended weight gain to your client, the nurse's teaching should include which statement?
a. "All pregnant women need to gain a minimum of 25 to 35 pounds." b. "The fetus, amniotic fluid, and placenta require 15 pounds of weight gain." c. "Weigh gain in pregnancy is based on the client's prepregnant body mass index." d. "More weight should be gained in the first and second trimesters and less in the third."
Before 1965 most consumers and health care providers were not concerned about health care costs because
A. Insurance companies were losing money but had not yet organized. B. Many employees had such low co-pays and deductibles that they felt they were receiving a real bargain. C. Medical and hospital bills were paid by insurance reimbursement for employees who received insurance as a fringe benefit. D. Physicians were having their reimbursements cut, but increased numbers of health care seekers insulated the physicians from financial loss.
The nurse is devising a plan of care for a patient with the nursing diagnosis of Constipation related to opioid use. Which outcome will the nurse evaluate as successful for the patient to establish normal defecation?
a. The patient reports eliminating a soft, formed stool. b. The patient has quit taking opioid pain medication. c. The patient's lower left quadrant is tender to the touch. d. The nurse hears bowel sounds in all four quadrants.